Individual provider Active NPI

Daniel J. Kerbacher, M.D.

  • Emergency Medicine Physician
  • Selinsgrove, PA
National Provider Identifier
1598767519
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD023726E Issued in PA
Practice address
1000 Route 522
Selinsgrove, PA 17870-8707
Phone
(570) 372-5690
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD023726E PA Primary

Addresses

Primary practice location

1000 Route 522
Selinsgrove, PA 17870-8707

Mailing address

436 E 11TH St
Berwick, PA 18603-2228
Phone (570) 759-1012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD023726EPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey/Pennsylvania Em-1 Medical Services, P.C. Emergency Medicine Past Accepting new patients
Central PA Emergency Physicians Emergency Medicine Past Accepting new patients
Shikellamy Emergency Physicians Emergency Medicine Past Accepting new patients
Bloomsburg Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1598767519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E 11TH ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032228",
            "telephone_number": "570-759-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 522",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178708707",
            "telephone_number": "570-372-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBACHER",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD023726E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.